Partographic analysis of labour by modified who partograph in primigravidae: a prospective observational study

Pujar, Kavitha G.; Salian, Shruthi V.; Kulkarni, Sunanda R.

doi:10.18203/2320-1770.ijrcog20151618

Int J Reprod Contracept Obstet Gynecol

2016

DOI: 10.18203/2320-1770.ijrcog20151618

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Partographic analysis of labour by modified who partograph in primigravidae: a prospective observational study

Kavitha G. Pujar

Shruthi V. Salian

Sunanda R. Kulkarni

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Cited by 2 publications

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“…Studies have shown that it is highly effective in reducing complications by timely prediction of abnormal labor and thus providing enough time for early intervention in terms of augmentation, caesarean section and timely referral to higher centre. 7,8 WHO recommends universal use of WHO modified partograph, which in clinical setup is less often used and when used it is incompletely interpreted. Dr. Debdas argued that WHO partograph has not been adapted to local needs, accepted to those who use it and cannot be used given available resource.…”

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Utility of paperless partogram in labor management

Tarannum

Akhtar

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Partograph use in labor has revolutionized the obstetric care. WHO recommends universal use of WHO modified partograph, which in clinical setup is less often used. Debdas (2006) proposed the paperless partogram which is designed for use by clinician/nurses/midwives as it is very simple and low skill method. The present study is proposed to evaluate the effectiveness of paperless partogram as a bedside tool and its comparison with WHO modified partograph.Methods: It was a prospective analytical study done in department of obstetrics and gynecology, JNMCH, AMU, Aligarh from September 2017 to July 2019 and included 400 pregnant women at term, divided into 2 groups of 100 each Group A (paperless partogram) and Group B (WHO modified partograph) and their labor events were followed.Results: Out of 200 women that were included in each group, maximum women were multigravida, 58.5% in group A and 61.5% women in Group B. Mean age in Group A was 24.68±3.8years and Group B was 24.93±3.75 years. The mean duration of labor in Group A was 3.57±2.20 hours and Group B was 3.40±2.03 hours. There were 87.5% of women who delivered before alert ETD, likewise in Group B; women who delivered before alert line are 88.5%. These differences were statically not significant. Perinatal outcome was also similar in both groups.Conclusions: In our study, the paperless study was found to be as efficient as WHO modified partograph for management of labor. The mean delivery time was 3.57 hours similar to WHO partograph of difference between alert and action line. Thus, for resource poor setting like India with overburdened population paperless partogram can be used as an alternative to WHO modified partograph which is complex and time consuming.

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confidence: 99%

Utility of paperless partogram in labor management

Tarannum

Akhtar

2020

Int J Reprod Contracept Obstet Gynecol

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“Role of Partogram in Management of Labour in Primigravida Patient at Tertiary Care Centre”

Gupta

Sharma

2021

ijsr

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Introduction: Although labor is a natural physiological process characterized by progressive increase in frequency, intensity and duration of uterine contractions, resulting in effacement and dilatation of cervix, with descent of the fetus through the birth canal, this physiologic process many a time may lead to prolonged labor. The partograph developed by World Health Organization is the best-known partograph in the lowresource setting. Partograph when used with dened management protocol is an inexpensive tool which can effectively monitor labor and be helpful in reducing incidences of both maternal and fetal morbidity and mortality by reducing the number of operative interventions, prolonged labor, obstructed labor and caesarean section. Then WHO in 1994 endorsed the partogram and later modied in 2000 and removed latent phase and dened active phase at 4 centimetres instead of previously used 3 centimetres. WHO advocated its use as a necessary tool in management of labor and recommended its universal use during labor. Objective: To analyse the patterns of labor amongst spontaneous parturient using a WHO modied partogram and to compare outcome of labor and neonatal outcomes in relation to partogram ndings. Methods: This prospective study was carried over a period of 18 months on 100 parturients. Modied WHO Partogram was used to assess the progress of the labor. Parturients were divided on basis of partogram ndings. Group-I (n=64), where parturients partogram remained to the left of alert line, Group-II (n=20), where parturients partogram remained between the alert and action lines and Group-III (n=16), where parturients partogram crossed the action line. In these three groups, the maternal and fetal outcomes were assessed. Results: Normal vaginal delivery was done in 95.3% of Group-I, 80% of Group-II and 43.75% of Group-III parturients. Instrumental delivery was done in 1.56% of Group-I, 10% of Group-II and 18.75% of Group-III parturients. LSCS was done in 3.1% of Group-I, 10% of Group-II and 37.5% of Group-III parturients. Instrumental / LSCS deliveries were higher in Group-II and Group-III parturients. Alarge proportion of newborns of Group-II and Group-III parturients had Apgar Score <7. Conclusion: The Modied WHO partogram is very helpful in the prediction of maternal and fetal outcome. It is highly recommended for use in resource decient medical facilities, where early decision for delivery or referral can be taken on the basis of partogram ndings..

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Partographic analysis of labour by modified who partograph in primigravidae: a prospective observational study

Cited by 2 publications

References 5 publications

Utility of paperless partogram in labor management

Utility of paperless partogram in labor management

“Role of Partogram in Management of Labour in Primigravida Patient at Tertiary Care Centre”

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